Treatment of patients with periodontitis accompanied by halitosis with the use of bacterial drugs

BACKGROUND: Chronic generalized periodontitis is often accompanied by halitosis (ozostomy), which has a significant impact on the psycho-emotional state, social status of patients and reduces their quality of life. Synbiotic complexes are able to selectively affect the pathogenic microbiota, reducing her activity, thereby eliminating the phenomena of ozostomy. AIM: To evaluate the effectiveness of a synbiotic complex based on the lysate of Streptococcus thermophilus in the treatment of mild chronic generalized periodontitis accompanied by halitosis. MATERIALS AND METHODS: 30 patients with chronic generalized periodontitis of mild severity and phenomena of halitosis were examined. The periodontal status was determined using Plaque Index, Papillary-marginal-alveolar Index, Sulcus Bleeding Index, and measuring the depth of periodontal pockets. The level of halitosis was determined by the method of organoleptic assessment of oral odor according to R. Seemann, a test with a floss and a napkin, a psychophysical assessment of odor according to the M. Rosenberg scale, the assessment of plaque on the tongue using the Winkel Tongue Coating Index. In the main group, complex treatment was performed with the inclusion of a synbiotic complex based on the lysate of Streptococcus thermophilus. The control group of the patients did not receive the synbiotic complex. RESULTS: After the therapy, both groups showed an improvement in the condition of periodontal tissues, a decrease in the level of halitosis in the patients and a statistically significant change in the main clinical parameters studied. Moreover, in the patients of the main group, 3 months after the start of therapy, the degree of ozostomy was 2.8 times lower than in the control group. CONCLUSIONS: The use of a synbiotic complex based on the lysate of the culture of Streptococcus thermophilus in the treatment of chronic generalized periodontitis of mild severity, accompanied by halitosis, increases the effectiveness of traditional therapy.